Congenital and acquired orthopedic abnormalities in patients with myelomeningocele.

M. A. Westcott*, M. C. Dynes, E. M. Remer, J. S. Donaldson, L. S. Dias

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

49 Scopus citations


This article presents a radiologic review of the spectrum of acquired and congenital orthopedic abnormalities found in patients with myelomeningocele. These abnormalities are caused predominantly by muscle imbalance, paralysis, and decreased sensation in the lower extremity. Iatrogenic injury, such as a postoperative tethered cord, may also cause bone abnormalities. Selected images were obtained from more than 800 children. Important entities presented include spinal curvatures such as kyphosis, scoliosis, and lordosis; subluxation and dislocation of the hip, coxa valga, contractures of the hip, and femoral torsion; knee deformities; rotational abnormalities of the lower extremity and external and internal torsion; ankle and foot abnormalities such as ankle valgus, calcaneus foot, congenital vertical talus (rocker-bottom deformity), and talipes equinovarus; and metaphyseal, diaphyseal, and physeal fractures. Familiarity with congenital abnormalities and an understanding of the pathogenesis of acquired disorders in patients with myelomeningocele are essential for proper radiologic interpretation and timely therapy.

Original languageEnglish (US)
Pages (from-to)1155-1173
Number of pages19
JournalRadiographics : a review publication of the Radiological Society of North America, Inc
Issue number6
StatePublished - Nov 1992

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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